Form

OMB No . 1545.0047

990

Return of Organization Exempt From Income Tax

2010

Under section 501 (c), 527, or 4947(a)(1) of the Internal Revenue Code
(except black lung benefit trust or private foundation )
Department of the Treasury

A

The organization may have to use a copy of this return to satisfy state reporting requirements.
For the 2010 calendar year, or tax ye be ginnin g
, 2010 , and endin g

B

Check if applicable :

Ifl5 Pe CtlOn -„' .,"

Internal Revenue Service

Address change
Name change
Initial return

D

Employer Identification Number

E

Telephone number

75-2985553

INTERNATIONAL CELLULAR MEDICINE SOCIETY
DBA ICMS, INC .
2926 DOGWOOD CT.
SALEM, OR 97302

503-364-3859

Terminated

F Name and address of principal officer .

Application pending

H(a) Is this a group return for affiliates ?

DAVID AUDLEY

I
J

Tax-exem p t status
Website : 1, N/A

K

Form of organ iz ation:

X Corporation

Trust

Association

X No

Yes

No

527

I

H( c) Group exemption number

L Year of Formation :

Otherm,

IJ Yes

H(b) Are all affiliates included
If 'No,'attach a list (see instructions)

1 2926 DOGWOOD CT S SALEM, OR 97302
(insert no.)
4947(a)(1) or
501(c)
I X 1 501(c)(3)

2001

M State of legal domicile-

CO

Summary

Part=y' -

Briefly describe the organization ' s mission or most significant activities :

1

292 , 7 73.

G Gross receipts $

Amended return

BEST P13ACTICES_TO AS5L)E PATIENT SAPE3'Y_

TO- PROVIDE_EDUCATIONN_ OVERSIGHT AND _ _

TI3ICAL CQI^D^jCT AND EFFECTIVE _T

P^TMFNTJ__

a2 YEAR _
IULii B ^PMP^iF,EENSI . BEGJ,STBY_ QZ ^DULT _ STEM CELk PBQCEUURE^ iI YBQ
L88QB^TOBY - - TIENT DDTCONIF^S , ,_CQMPLIC,AT .NS;_ TQ ^BQVIDE ^LINIC^ J
SRACKIN.G_.OE
if the organization discontinued its operations or disposed of more than 25% of its net assets.

2 Check this box ^

8
9
10

Number of voting members of the governing body (Part VI, line la) ............................ . ....
Number of independent voting members of the governing body (Part VI, line 1b) . . ...... . .... .. ..
Total number of individuals employed in calendar year 2010 (Part V, line 2a). .
..... ..
Total number of volunteers (estimate if necessary). . . ............. .. ........
Total unrelated business revenue from Part VIII , column (C), line 12 .......... . . ........ . .......
Net unrelated business taxable income from Form 990 -T, line 34..... ........... ......... . . ....
Prior Year
. .. . ..... ..
Contributions and grants (Part VIII, line 1h). ......... .... . .
..
Program service revenue (Part VIII, line 2
Investment income (Part VIII, co
jjes 3, 4 and 7d) . .. . . . .... ......

11

Other revenue (Part V

3
4
5
6
7a
b

a

r1^r1^/X^ Ine 5, 6 \

Current Year
10 , 000.
282, 682
91 .

9c, 1 Oc, and 11 e). . .........

292,773.

Total revenue - add Imes 8 through` l l (must_e ua
rt VIII, column (A) , line 12)..
Grants and similar a oun s paid A
.. ............ .
Pa Ft f^(,^ I'timn ''\ Ines 1.3) .
bel^rIX, col
Benefits paid to or for
) II e 4) ...... .
Salaries , other compen I in, em
Merle
P
column (A), lines 5 -10). ...
n (A), line 11e) ........ ................
16a Professional fundraising ees (F a
12
13
14
15

a

b Total fundraising expens

25,499.

6,153.

, column (D), line 25) a-

17

Other expenses (Part IX, column (A), lines 11 a -11 d, l l f-24f) ... ........

18
19

Total expenses . Add lines 13- 17 (must equal Part IX, column (A), line 25) .. . .
Revenue less ex p enses . Subtract line 18 from line 12 .... ...

...

....

137 , 084.

..

162 , 583.
130 , 190.
B eg i n n i n g of Current Year

f;e 20 Total assets (Part X, line 16) . .

9
9
3
0
0.
0.

3
4
5
6
7a
7b

.... .................. ..... .
..

. ... ....

....

. ......

. .

Za

Total liabilities (Part X, line 26) ............. .. .. ..... ...

zLL

Net assets or fund balances . Subtract line 21 from line 20 ....................... ....

End of Year

9, 738 .

139, 928.

0.

0.

9 738.

139 , 928.

PA . -'II'y; Sianature Block
1-4

1 declare (ha t I have
Under en (lies of perlu
complele declaration o^preparer (other tha
r..

I9-n

i.

amned lhi retur , includntg ac omp flying sche d ules an d sta tements , and to the best of my knowledge and belief , it is true , correct, and
base on all information orf which, preparer has any knowledge

Signature of officer

MICHAEL FREEMAN , PHD , MPH , DC
Type or print name and title.

Q

'reparer
Jse Only

Preparcr's signs re

Print/Type preparer ' s name
JAMES E. MARTINEZ,

Firm's name
Firm's address

CPA,

JD

FISCHER, RAYES & ASSOCIATES PC
3295 TRIANGLE DR. SE, STE. 200
SALEM, OR 97302

Aay the IRS discuss this return with the p re p arer shown above? (see instr
3AA For Paperwork Reduction Act Notice . see the separate Instructions.

 75-2985553

INTERNATIONAL CELLULAR MEDICINE SOCIETY
Form 990 (2010)
Statement of Program Service Accomplishments
Part III
1

2

3
4

Check if Schedule 0 contains a response to any question in this Part III
Briefly describe the organization 's mission
SEE SCHEDULE - 0

Page 2
n

Did the organization undertake any significant program services during the year which were not listed on the prior
Yes 1-1
No
Form 990 or 990 -EZ7
If 'Yes,' describe these new services on Schedule 0
No
Yes
Did the organization cease conducting , or make significant changes in how it conducts , any program services?
If 'Yes,' describe these changes on Schedule 0
Describe the exempt purpose achievements for each of the organization ' s three largest program services by expenses Section 501(c)(3)
and 501 (c)(4) organizations and section 4947( a)(1) trusts are required to report the amount of grants and allocations to others, the total
expenses , and revenue , if any, for each program service reported

187, 620. )
) (Revenue $
94, 864. including grants of $
4a (Cope p
) (Expenses $
APPROXIMATELY
TO
APPROXIMATELY
650
EXPANDED ONLINE DATABASE OF PATIENT OUTCOMES FROM-

950 UNIQUE-TREATMENTS-THROUGH THE ICMS- TREATMENT -REGIS TRY-

54, 096. )
) (Revenue $
) (Expenses $
33, 453. including grants of $
HOSTED-AN-INTERNATIONAL CONFERENCE-THAT BROUGHT NEARLY-250-PHYSICIANS-FROM-AROUND-THEWORLD-TO DISCUSS ADVANCES- IN STEM-CELL-MEDICINE - - - - - - - - - - - - - - - - - - - - - - -

4b (Code

------

--------------------------------

4c (Code

) (Expenses $

3, 100.

including grants of

$

) (Revenue

$

SUCCESSFULLY CONDUCTED-AN-INTERNATIONAL INVESTIGATION-INTO-THE-DEATHS-OF TWO PATIENTSWHO HAD RECEIVED STEM - CELL-THERAPIES -- -----------------------------------

4d Other program services (Describe in Schedule 0)
(Expenses
$
4e Total program service expenses ^
BAA

SEE SCHEDULE 0

including grants of
$
131,417.
TEEA0102L 10/06/10

) (Revenue $
Form 990 (2010)

 Form 990 (2010)
INTERNATIONAL CELLULAR MEDICINE SOCIETY
Part IV
Checklist of Re q uired Schedules

75-2985553

Page 3
Yes

No

1

Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If 'Yes,' complete
Schedule A

1

X

2

Is the organization required to complete Schedule B, Schedule of Contributors? (see instructions)

2

X

3

Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates
for public office? If 'Yes,' complete Schedule C, Part 1

3

X

Section 501 (cX3) organizations Did the organization engage in lobbying activities, or have a section 501(h) election
in effect during the tax year? If 'Yes,' complete Schedule C, Part ll

4

X

Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues,
assessments, or similar amounts as defined in Revenue Procedure 98.197 If 'Yes,' complete Schedule C, Part 111

5

4
5

Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to
provide advice on the distribution or investment of amounts in such funds or accounts? If 'Yes,' complete Schedule D,

6

7

6

X

environment, historic land areas or historic structures? If 'Vnc ' complete Schedule r) Pali Il

7

X

Did the organization maintain collections of works of art, historical treasures , or other similar assets? If 'Yes,'
complete Schedule - D, Part lll_

8

X

Did the organization report an amount in Part X , line 21, serve as a custodian for amounts not listed in Part X,
or provide credit counseling , debt management , credit repair , or debt negotiation services? If 'Yes ,' complete
Schedule D, Part IV

9

X

10

X

Did the organization receive or hold a conservation easement, including easements to preserve open space, the

8

9

Did the organization , directly or through a related organization , hold assets in term, permanent , or quasi - endowments?
'Yes,' complete Schedule D, Part V

10

If the organization 's answer to any of the following questions is 'Yes', then complete Schedule D , Parts VI, VII, VIII, IX,
or X as applicable

11

°

a Did the organization report an amount for land, buildings and equipment in Part X, line 10? If 'Yes,' complete Schedule
D, Part VI

11 a

X

b Did the organization report an amount for investments- other securities in Part X, line 12 that is 5% or more of its total
assets reported in Part X, line 16' If 'Yes,' complete Schedule D, Part VII

11 b

X

c Did the organization report an amount for investments- program related in Part X, line 13 that is 5% or more of its total
assets reported in Part X, line 16' If 'Yes,' complete Schedule D, Part Vlll

11 c

X

d Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported
in Part X, line 16' If 'Yes,' complete Schedule D, Part IX

lid

X

e Did the organization report an amount for other liabilities in Part X, line 25' If 'Yes,' complete Schedule 0, Part X

Ile

X

f Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses
the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If 'Yes,' complete Schedule D, Part X

11 f

X

12a

X

12b

X

13

X

14a

X

14b

X

Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization
or entity located outside the United States? If 'Yes,' complete Schedule F, Parts ll and IV

15

X

Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to
individuals located outside the United States? If 'Yes,' complete Schedule F, Parts 111 and IV

16

X

Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX,
column (A), lines 6 and 11e' If 'Yes,' complete Schedule G, Part I (see instructions)

17

X

Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII,
lines 1c and 8a' If 'Yes,' complete Schedule G, Part ll

18

X

Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a' If 'Yes,'
complete Schedule G, Part 111

19

X

20

X

12a Did the organization obtain separate, independent audited financial statements for the tax year? If 'Yes,' complete
Schedule D, Parts Xl, Xll, and Xlll
b Was the organization included in consolidated, independent audited financial statements for the tax year? If 'Yes,' and
if the organization answered 'No' to line 12a, then completing Schedule D, Parts Xl, Xll, and XIII is optional
13

Is the organization a school described in section 170(b)(1)(A)(ii)' If 'Yes,' complete Schedule E

14a Did the organization maintain an office, employees, or agents outside of the United States?
b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising,
business, and program service activities outside the United States? If 'Yes,' complete Schedule F, Parts I and IV
15
16
17
18
19

20 aDid the organization operate one or more hospitals? If 'Yes,' complete Schedule H
b If 'Yes' to line 20a, did the organization attach its audited financial statements to this return ? Note . Some Form 990
filers that op erate one or more hos p itals must attach audited financial statements (see instructions)
BAA

TEEAO103L

12)21/10

20b
Form 990 (2010)

 Form 990 (2010)
INTERNATIONAL CELLULAR MEDICINE SOCIETY
Part IV , 1 Checklist of Required Schedules (continued)

75-2985553

Page 4
Yes

21
22
23

No

Did-the organization report more than $5,000 of grants and other assistance to governments and organizations in the
United States on Part IX, column (A), line 1? If 'Yes,' complete Schedule 1, Parts I and 11

21

X

Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part
IX, column (A), line 2' If 'Yes,' complete Schedule I, Parts I and 111

22

X

Did the organization answer 'Yes' to Part VII, Section A, line 3, 4, or 5 about compensation of the organization's current
and former officers, directors, trustees, key employees, and highest compensated employees? If 'Yes,' complete
Schedule J

23

X

24a

X

24a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of
the last day of the year, and that was issued after December 31, 20027 If 'Yes,' answer lines 24b through 24d and
complete Schedule K If 'No,'go to line 25
b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?

24b

c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease
any tax-exempt bonds?
d Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?

24c
24d

25a Section 501(cX3) and 501 (cX4) organizations . Dia the organization engage in an excess benefit irarisachon with a
disqualified person during the year? If 'Yes,' complete Schedule L, Part I
b Is theorganization aware that it engaged in an-excess benefit transaction with-a disqualified person-in a_prior_year, andthat the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ7 If 'Yes,' complete
Schedule L, Part I

25a

X

25b

X

26

Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or
disqualified person outstanding as of the end of the organization's tax year2 If 'Yes,' complete Schedule L, Part ll

26

X

27

Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial
contributor, or a grant selection committee member, or to a person related to such an individual? If 'Yes,' complete
Schedule L, Part 111

27 1

AV,

28 Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV
instructions for applicable filing thresholds , conditions, and exceptions)
a A current or former officer , director , trustee , or key employee? If 'Yes,' complete Schedule L, Part IV

,
28a

X

28b

X

28c
29

X
X

Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation
contributions? If 'Yes,' complete Schedule M
Did the organization liquidate, terminate, or dissolve and cease operations? If 'Yes,' complete Schedule N, Part I

30
31

X
X

Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If 'Yes,' complete
Schedule N, Part II
.

32

X

Did the or g anization own 100% of an entity disregarded as separate from the organization under Regulations sections
301 7701- 2 and 301 .7701 -37 If ' Yes,' complete Schedule R, Part

33

X

Was the organization related to any tax-exempt or taxable entity? If 'Yes,' complete Schedule R, Parts II, Ill, IV, and V,
line 1
Is any related organization a controlled entity within the meaning of section 512(b)(13)'

34
35

X
X

36

X

Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is
37
treated as a partnership for federal income tax purposes? If 'Yes,' complete Schedule R, Part VI

X

b A family member of a current or former officer, director, trustee, or key employee? If 'Yes,' complete
Schedule L, Part IV
c An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an
officer, director, trustee, or direct or indirect owner? If 'Yes,' complete Schedule L, Part IV
29 Did the organization receive more than $25,000 in non-cash contributions? If 'Yes,' complete Schedule M
30
31
32
33
34
35

a Did the organization receive any payment from or engage in any transaction with a controlled entity
within the meaning of section 512(b)(13)? If 'Yes,' complete Schedule R, Part V, line 2
36
37
38

1 X

11 Yes

Section 501(cX3) organizations . Did the organization make any transfers to an exempt non-charitable related
organization? If 'Yes,' complete Schedule R, Part V, line 2

Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines 11 and 197
Note. All Form 990 filers are required to complete Schedule 0

BAA

TEEA01041.

12/21/10

No

38 1 X
Form 990 (2010)

 75-2985553

Form 990 (2010)
INTERNATIONAL CELLULAR MEDICINE SOCIETY
Part-V. Statements Regarding Other IRS Filings and Tax Compliance

Page 5

Check if Schedule 0 contains a response to any question in this Part V

n
1a

1 a Enter the number reported in Box 3 of Form 1096 Enter -0 - i f not applicable
b Enter the number of Forms W-2G included in line 1 a Enter -0 - if not applicable

Yes
--

0

No

lb

c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming
(gambling ) winnings to prize winners?
2a Enter the number of employees reported on Form W - 3, Transmittal of Wage and Tax State2a
ments, filed for the calendar year ending with or within the year covered by this return
b If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note . If the sum of lines la and 2a is greater than 250 , you may be required to a-file (see instructions)
3a Did the organization have unrelated business gross income of $1,000 or more during the year7
b If 'Yes' has it filed a Form 990-T for this year? If 'No,' provide an explanation in Schedule 0
4a At any time during the calendar year, did the organization have an interest in , or a signature or other authority over, a
financial account in a foreign country (such as a bank account , securities account , or other financial account)
b If 'Yes,' enter the name of the foreign country 11
See instructions for filing requirements for Form TD F 90-22 1, Report of Foreign Bank and Financial Accounts
5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?
b-Did-any - taxable-party - notify-the-organization - that-it-was - or-is-a - party - to-a-prohibited -tax-shelter- transaction?
c If 'Yes,' to line 5a or 5b, did the organization file Form 8886-T'
6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization
solicit any contributions that were not tax deductible?
b If 'Yes,' did the oranization include with every solicitation an express statement that such contributions or gifts were
not tax deductible ?
7 Organizations that may receive deductible contributions under section 170(c).

lc

3F
2b
rY

X
-

3a Y

X

4a

X
<av

5aly^

X •^

5c
6a

X

6b
47:
^ - 1-

_

a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and
services provided to the payor '
b If 'Yes,' did the organization notify the donor of the value of the goods or services provided?
c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file
Form 8282?
7d
d If 'Yes,' indicate the number of Forms 8282 filed during the year
e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?

7c

X

7e
7f

MU
X
X

g If the organization received a contribution of qualified intellectual property, did the organization file Form 8899
as required?

7

h If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a
Form 1098-C'

7h

Sponsoring organizations maintaining donor advised funds and section 509(aX3) supporting organizations . Did the
supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business
holdings at any time during the year?
9 Sponsoring organizations maintaining donor advised funds .
a Did the organization make any taxable distributions under section 4966'
b Did the organization make a distribution to a donor, donor advisor, or related person?

7a
7b

X

8

Section 501(c)(7) organizations . Enter
a Initiation fees and capital contributions included on Part VIII, line 12
b Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
11 Section 501(cx12 ) organizations . Entera Gross income from members or shareholders
10

8
^ ;
9a
9b '491-

- r=te

10a
10b

E -, -

;

11 a

b Gross income from other sources (Do not net amounts due or paid to other sources
11 b
against amounts due or received from them
12a Section 4947(aXl) non -exempt charitable trusts . Is the organization filing Form 990 in lieu of Form 1041'
12b
b If 'Yes,' enter the amount of tax-exempt interest received or accrued during the year
13 Section 501(cX29 ) qualified nonprofit health insurance issuers .
a Is the organization licensed to issue qualified health plans in more than one states
Note. See the instructions for additional information the organization must report on Schedule 0
b Enter the amount of reserves the organization is required to maintain by the states in
13b
which the organization is licensed to issue qualified health plans
13c
Enter
c
the amount of reserves on hand
14a Did the organization receive any payments for indoor tanning services during the tax year?
b If 'Yes,' has it filed a Form 720 to re p ort these p ay ments? If 'No,' provide an explanation in Schedule 0
BAA
TEEA0105L 11/30/10

fd
12a

y ''
'-}-

`^
+ Yl

13a
t2_

= 1
-`
14a
X
14b
Form 990 (2010)

 75- 2985553
Pa g e 6
Governance , Management and Disclosure For each Yes' response to lines 2 through 7b below, and for
a 'No' response to line 8a, 8b, or 10b below, describe the circumstances , processes , or changes in
Schedule 0. See instructions.

Form 990 (2010 INTERNATIONAL CELLULAR MEDICINE SOCIETY

Part-VI

Check if Schedule 0 contains a response to any question in this Part VI

n

Section A. Governin g Bod y and Mana g ement
No

Yes
1 a Enter the number of voting members of the governing body at the end of the tax year
b Enter the number of voting members included in line la , above, who are independent

1, 1
1b

9
9

Did any officer , director , trustee, or key employee have a family relationship or a business relationship with any other
officer , director, trustee or key employee?

2

=
2

delegate control over management duties customarily performed by or under the direct supervision
or trustees, or key employees to a management company or other person?
make any significant changes to its governing documents
990 was filed?
become aware during the year of a significant diversion of the organization ' s assets?
Does the organization have members or stockholders?
Did the organization
of officers , directors
Did the organization
since the prior Form
Did the organization

3
4
5
6

X
X

5

X

6

X

7a

X
X

7b

Did the organization contemporaneousl y document the meetin g s held or written actions undertaken during the year b Y
the following
a The governing body?
b Each committee with authority to act on behalf of the governing body'

:••- ' °
8a
8b

Is there any officer , director or trustee, or key employee listed in Part VII , Section A , who cannot be reached at the
organization ' s mailing address? If 'Yes,' provide the names and addresses in Schedule 0

9

X

3
4

7a Does the organization have members, siockhoiders, or other persons who may elect one or more members of the
governing body?
- b Are any decisions of the governing body subject to appro val by m e mbers, stockholders, or other persons?
8

-

X
X
X

9

Section B . Policies ( This Section B requests information about policies not re uired b the Internal Revenue Code.
Yes
10a Does the organization have local chapters, branches , or affiliates
b If 'Yes,' does the organization have written policies and procedures governing the activities of such chapters , affiliates,
and branches to ensure their operations are consistent with those of the organization?
11 a Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
SEE SCHEDULE 0
b Describe in Schedule 0 the process , if any, used by the organization to review this Form 990
12a Does the organization have a written conflict of interest policy? If 'No,' go to line 13
b Are officers , directors or trustees, and key employees required to disclose annually interests that could give rise
to conflicts'

Did the process for determining compensation of the following persons include a review and approval by independent
persons, comparability data, and contemporaneous substantiation of the deliberation and decision ?
a The organization ' s CEO, Executive Director , or top management official
b Other officers of key employees of the organization
If 'Yes' to line 15a or 15b , describe the p rocess in Schedule 0 (See instructions

No
X

10b
11 a

X

1.

c Does the organization regularly and consistently monitor and enforce compliance with the policy? If 'Yes,' describe in
Schedule 0 how this is done
13 Does the organization have a written whistleblower policy?
14 Does the organization have a written document retention and destruction policy?
15

ipa

12a

X

12b

X

12c
13
14

X
X
X

}

^rx

15a
15b

X
X

16a Did the organization invest in , contribute assets to, or participate in a joint venture or similar arrangement with a
taxable entity during the year?

16a

X

b If 'Yes,' has the organization adopted a written policy or p rocedure requiring the organization to evaluate its
participation in joint venture arrangements under applicable federal tax law , and taken steps to safeguard the
or g anization ' s exem p t status with res p ect to such arran g ements 7

16b

Section C . Disclosure
17
18

19
20

NONE
List the states with which a copy of this Form 990 is required to be filed ^ -----------------------------Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable ), 990, and 990 -T (501 (c)( 3)s only) available for public
inspection Indicate how you make these available Check all that apply
XX Upon request
Own website
r] Another's website
Describe in Schedule 0 whether (and if so, how) the organization makes its governing documents , conflict of interest policy , and financial
statements available to the public
SEE SCHEDULE 0
State the name, physical address , and telephone number of the person who possesses the books and records of the organization
----------------------------------------------------------------Form 990 (2010)

BAA
TEEA0106L 12/21/10

 Form 990 (2010 )
75-2985553
Page 7
INTERNATIONAL CELLULAR MEDICINE SOCIETY
Part: VII Compensation of Officers , Directors , Trustees , Key Employees, Highest Compensated Employees,

and Independent Contractors
Check if Schedule 0 contains a response to any question in this Part VII
Section A . Officers , Directors, Trustees , Key Employees ,- and Highest Compen sat ed Employee s

^

1 a Complete this table for all persons required to be listed Report compensation for the calendar year ending with or within the
organization's tax year
• List all of the organization's current officers directors, trustees (whether individuals or organizations), regardless of amount of
compensation Enter -0- in columns (D), (E), and (F5 if no compensation was paid
• List all of the organization 's current key employees, if any See instructions for definition of 'key employee
• List the organization' s five current hlghest compensated employees (other than an officer, director, trustee, or key employee) who
received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any
related organizations
• List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of
reportable compensation from the organization and any related organizations
• List all of the organization' s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations
List persons in the following order individual trustees or directors, institutional trustees, officers; key employees; highest compensated
employees, and former such persons.
TI Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee
(A)

(B)

(C)

(D)

(E)

(F)

Name and title

Average
hours
per week
(describe
hours for
related
organiza
lions in
Schedule
0)

-Pos i t i on- ( check - all that apply) °
o
.
0 7
g m
5
.
m
n "
H
3
°
° c
6.
m
3
_
0,
a
n
8 w
d
°
,°
.2
o
c
°
m
fv
m

Reportable
compensation from
the or g anization
(W-2/1099 MISC )

Reportable
compensation from
related or ganizations
(W 2/1099-Misc)

Estimated
amount of other
compensation
from the
organization
and related
organizations

n

_ L) DAVID AUDLEY _ _ _ _ _ _ _
EXECUTIVE DIREC
CHRISTOPHER J CENTENO,
DIRECTOR
-ft-GEORGE L_EI_M_B_AC_H1 _MD _ _
DIRECTOR
_ L4) JOHN_SCHULTZL MD_ _ _ _ _

DIRECTOR

16 , 000.

0.

0.

2

0.

0.

0.

2

0.

0.

0.

2

0.

0.

0.

2

0.

0.

0.

2

0.

0.

0.

2

0.

0.

0.

2

0.

0.

0.

2

0.

0.

0.

2

0.

0.

0.

40

_ (5

MICHAEL FR_E_E__N1 _PHDL M
DIRECTOR/PRES
_ (6) SEAN_KOHLES1 _PHD_ _ _ _ _
DIRECTOR
_
STEVE SHAPIRO, ESQ _ _ _

DIRECTOR
_L) FRANCESCA VITELLI,

PHD

DIRECTOR
_@) RICARDO RODR I GU_E Z ,
DIRECTOR

M_D_

-

(10) GLENN MCGEE _ _ _ _ _ _ - _
DIRECTOR
Sl^^ ----------------A2L----------------Ali ----------------j14L----------------s15L ----------------(16^ - ----------------sly ----------------BAA

TEEA0107L 12/21/10

Form 990 (2010)

 75-2985553
Form 990 (2010 ) INTERNATIONAL CELLULAR MEDICINE SOCIETY
Pa g e 8
Part VII Section A. Officers , Directors , Trustees , Key Employees , and Highest Compensated Employees (cont)
(A)

(B)

(c)

(D)

(E)

(F)

Name and title

Average
h ours
per week
(describe
hours for
related
organi
zations

Position ( check all that apply)

Reportable
compensation from
the organization
(W 21 9-MISC)

Reportable
compensation from
related or g amzations
(w-211099 -MISC)

Estimated
amount of other
compensation
from the
organization
and related
organizations

16,000.

0.

Sch O)

° v
n
,
a

N
c
3
d

o
3
n

0
0

%
rv

_^19Z------------------------ROL-----------------------(21)

_^??----------------------

--- -

_^23L-----------------------_(24L-----------------------_25L-----------------------^26L----------------------------------------------(28L-----------------------_A9Z------------------------

1 b Sub-total

^

0.

0.
0.
0 .
c Total from continuation sheets to Part VII , Section A
0.
1
0.
d Total add lines lb and c)
16,000.
2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation
0. 0
from the organization
No
~3

^

-,-" -X

For any individual listed on line 1a, is the sum of reportable compensation and other compensation from
the organization and related organizations greater than $150,000? If 'Yes' complete Schedule J for
such individual

4

-

X

Did any person listed on line la receive or accrue compensation from any unrelated organization or individual
for services rendered to the oraanlzatlon? If 'Yes.' complete Schedule J for such person

=
5

3

Did the organization list any former officer, director or trustee, key employee, or highest compensated employee
..
on line 1 a If 'Yes,' complete Schedule J for such individual

4

5

-' X

Section B. Independent Contractors
1

Complete this table for your five highest compensated independent contractors that received more than $100,000 of
compensation from the orcianization
(A)
Name and business address

(B)
Description of services

Total number of independent contractors (including but not limited to those listed above) who received more than
$100,000 in compensation from the organization ^ 0
TEEA01081 - 12121110
BAA

(C )
Compensation

2

Form 990 (2010)

 Form 990 (2010)

75- 2985553

INTERNATIONAL CELLULAR MEDICINE SOCIETY

Pa g e 9

Part VIII Statement of Revenue

1a
b
c
d

,
a
Q

Federated campaigns
Membership dues
Fundraising events
Related organizations

lb
lc
1d
--: _ -

le

W
m
=o

f All other contributions, gifts, grants, and
similar amounts not included above
if
g N oncas h con t ri b u t ions inc l u d e d in I ns l a - 1f :

U

h Total . Add lines la-If

-

=
10,000 .
10,000 .
.• _

Business Code

T

2a REGISTRY FEES__
b CONFERENCE
SPONSORSHIPS
- - - - -

v

(D)
Revenue
excluded from tax
under sections
512, 513, or 514

(C)
Unrelated
business
revenue

la

e Government grants ( contributions )

2

(B)
Related or
exempt
function
revenue

(A)
Total revenue

_

228 586 .
54 , 096.

228 586.
54 , 096.

. '

1

- - - - - - - - - - - -

C
- - - - - - - - - - - - - - - - -

in

- - - - - - - - - - - - - - - - - -

f

e
f All other program service revenue
Total. Add lines 2a 2f

282 , 682 .

Investment income (including dividends , interest and

3

other similar amounts )

91.

91.

Income from investment of tax-exempt bond proceeds
Royalties

4
5

(t) Real

6a
b
c
d

Gross Rents
Less rental expenses
Rental income or (loss )
Net rental income or (lo ss

7a Gross amount from sales of

_

( ii) Personal

k

(i) Securities

( ii) Other

assets other than inventory

-

"_ ^_- *' - '

~^r

r

4K4^
,• r^

(; :ti.

_

_ '{

_ •F + a

3y^(.,^'
T+d.a^r'... "4

-

^ .. . r{
_r --/

' -'
"

= ' r_

-yw

^•

,_1+`•^,-

.

t

J

' ^'-

5
=. • _ ; _ _ _ . +n
ry =•= `' :+';`=

*r_ .
-s
i
^_'-,' .`' _ `

b Less cost or other basis
and sales expenses

c Gain or (loss)

-^•

_

„_

L
f-' -

_ may,

_

-

-

d Net gain or ( loss)

0

8a Gross income from fundraising events
(not including $
of contributions reported on line 1c)
See Part IV , line 18
a
b Less direct expenses
b
c Net income or (loss ) from fundraising ev ents

_

:.

;•

_. ;

'_

- -

z

9a Gross income from gaming activities
See Part IV, line 19

a
b L ess d irec t expenses
b
c Net income or (loss) from gaming activit ies

_

__ _

. ' - 1= -:..._-_ '.:^ '`

, _. • _ _ ...

w : __. __

._

10a Gross sales of inventory , less returns
and allowances
a
b Less : cost of goods sold
b
c Net income or (loss) from sales of Inventor
Miscellaneous Revenue

Business Code

Ila
-----------------b
-----------------c
-----------------d All other revenue
e Total . Add lines lea-lid

12
BAA

Total revenue . See instructions

292, 773.
TEEA0109L torntno

282, 773.

0.

0.
Form 990 (2010)

 Form 990 (2010
INTERNATIONAL CELLULAR MEDICINE SOCIETY
Part IX
Statement of Functional Expenses

75-2985553

Pa g e 10

Section 501(c)(3) and 501(c)(4) organizations must complete all columns
All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D)
Do not include amounts reported on lines
6b, 7b, 8b, 9b, and 70b of Part V///.
1 Grants and other assistance to governments
and organizations in the U S See Part IV,
line 21
2 Grants and other assistance to individuals in
the U S See Part IV, line 22
3 Grants and other assistance to governments,
organizations, and individuals outside the
U S See Part IV, lines 15 and 16
4 Benefits paid to or for members
5 Compensation of current officers, directors,

trustees, and key employees
Compensation not included above, to
disqualified persons (as defined under
section 4958(f)(1)) and persons described
in section 4958(c)(3)(B)
7 Other salaries and wages
8 Pension plan contributions (include
-- -section 401(k) and-section 403(b)
employer contributions)
9 Other employee benefits

(B)
Program service
ex p enses

Total expenses

(C)
Management and
g eneral ex p enses
=
:

=
= 3-"='' =`
x_-F 7

(D)
Fundraising
ex p enses
*:•`_ ._

-

-

-

=

2,400.

-

=t - rf {-'=

800.

16,000.

12,800.

0.
5,724.

0.

0.

0.

4, 579.

859.

286.

3 , 775.

3 , 020.

566.

189.

6

10 Payroll taxes
11

Fees for services (non-employees)
a Management
b Legal

c Accounting

168.

168.

1 , 388.

1 , 388.

d Lobbying
e Professional fundraising services See Part IV, line 17
I Investment management fees

g Other
12

Advertising and promotion

13 Office expenses
14 Information technology
15
16

y^

^,

y

4 , 215.
1 , 203.

3 , 372.
600.

632.

211.
603.

11 , 641.
1 454.

9 313.
727.

1 , 746.
727.

582.

39 039.

39 , 039.

2 , 236.

2 , 236.

Royalties
Occupancy

17 Travel
18

Payments of travel or entertainment
expenses for any federal, state, or local
public officials

19 Conferences, conventions, and meetings
20
21
22

Interest
Payments to affiliates
Depreciation, depletion, and amortization

23

Insurance

24

Other expenses Itemize expenses not
covered above (List miscellaneous expenses
line 24f If line 24f amount exceeds 10 /o
of line 25, column (A) amount, list line 24f
expenses on Schedule 0)

a -CONTRACTED SVCS
-------------------

b RENT
- ----------------c MEAL & ENTERTAINMENT
--------------------d POSTAGE AND SHIPPING - - _ _
e MISCELLANEOUS
--------------------f All other expenses
25 Total functional ex penses Add lines 1 throu gh 24f
26

763.

76 3.

66 ,
3,
1,
1,

767.

53 , 414.

734.
649.

1 , 319.

10 , 015.
3 , 734.

3 338.

248.

82.

1 , 518.

518.
942.
56.
131, 417.

1 , 178.
131.
162 , 583.

177.
72.
25 , 013.

59.
3.
6 , 153.

Joint costs. Check here ^
if following
SOP 98-2 (ASC 958-720) Complete this line
only if the organization reported in column
(B) joint costs from a combined educational
cam pai g n and fundraisin g solicitation
rorm vvu <<u i u)

BAA

TEEA01101.

12/21/10

 (B)
End of year

(A)
Beginning of year

1
2
3
4
5
6

A
E
T

7
8
9

9, 738.

Cash - non-interest-bearing
Savings and temporary cash investments
Pledges and grants receivable, net
Accounts receivable, net

I

-'

10a
Complete Part Vl of Schedule D
10b
b Less accumulated depreciation
11 Investments - publicly traded securities
12 Investments - other securities See Part IV, line 11
13 Investments - program-related See Part IV, line 11
14 Intangible assets
15 Other assets See Part IV, line 11
16 Total assets Add lines 1 throu g h 15 (must e q ual line 34)

A

i- :. : -

-.

•

_-

tiI.\".

}

ty^ft^

_
F;__

^- -

•-

9, 738.

22

Pa y ables to current and former officers , directors , trustees , key employees ,
hi g hest com p ensated emplo y ees , and disqualified persons Complete Hart
of Schedule L
Secured mortgages and notes payable to unrelated third parties
Unsecured notes and loans payable to unrelated third parties
Other liabilities Complete Part X of Schedule D
Total liabilities . Add lines 17 through 25
X and complete lines
Organizations that follow SFAS 117, check here ^

N

.-

15
16

-

_

-

_ -

139,928.

21
'
22
23

0.

--" '°}

In,

24
25
26

0 .
tom"

9,738.

27

27

Unrestricted net assets

T

28

s
R
U
N

29

Temporarily restricted net assets
Permanently restricted net assets
Organizations that do not follow SFAS 117, check here ^

30
31
32

lines 30 through 34.
Capital stock or trust principal, or current funds
Paid-in or capital surplus, or land, building, or equipment fund
Retained earnings, endowment, accumulated income, or other funds

33

Total net assets or fund balances

9, 738.

33

34

Total liabilities and net assets/fund balances

9, 738.

34

S

-

°-^^

27 through 29 and lines 33 and 34.

T

N

TS'T"L^.

17
18
19
20

A

A
A

-].".

- -

12
13
14

Accounts payable and accrued expenses
Grants payable
Deferred revenue
Tax-exempt bond liabilities
Escrow or custodial account liability Complete Part IV of Schedule D

23
24
25
26

- g ,"

10c
11

17
18
19
20
21

Ei

8
9
1^^' T.

I

39,928.
100,000.

""= °° '''
6
7

Prepaid expenses and deferred charges
1.
bass

1
2

3
4
_- -- ^'-;-- .,_ °
- - •`r
= 1x - = =^ ^4 =
5

Receivables from current and former officers, directors, trustees, key employees,
and highest compensated employees Complete Part II of Schedule L
Receivables from other disqualified persons (as defined under section 4958(0(1)),
persons described in section 4958(c)(3)(B), and contributing employers and
sponsoring organizations of section 501(c)(9) voluntary employees beneficiary
organizations (see instructions)
Notes and loans receivable, net
Inventories for sale or use

A
1
J
!.
J
J
1 va Land , bui l dings , and equipment cos or
t

Page 11

75-2985553

INTERNATIONAL CELLULAR MEDICINE SOCIETY
Form 990 (2010)
Part X
Balance Sheet

139,928.

28
29
LI and complete

BAA

TEEA0111L

12/21110

= _,

WX:
-

30
31
32

139,928.
139,928.
Form 990(2010)

 75-2985553

INTERNATIONAL CELLULAR MEDICINE SOCIETY
Form 990 (2010)
Reconciliation of Net Assets
Part Xl

Page 12

Check if Schedule 0 contains a response to any question in this Part XI

F]

5

Total revenue (must equal Part VIII, column (A), line 12)
Total expenses (must equal Part IX, column (A), line 25)
Revenue less expenses Subtract line 2 from line 1
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A))
Other changes in net assets or fund balances (explain in Schedule 0)

6

Net assets or fund balances at end of year Combine lines 3, 4, and 5 (must equal Part X, line 33,

1
2
3
4

column (B ))
Part Xii Financial Statements and Reporting
Check if Schedule 0 contains a response to any question in thi s Part XII

5

292, 773.
162, 583.
130,190.
9,738.
0.

6

139,928.

1
2
3
4

^-1
I I
No

1

Accounting method used to prepare the Form 990

N Cash

n Accrual

[ Other

If the or g anization changed its method of accounting from a prior year or checked 'Other ,' explain
in Schedule 0
2a Were the organization 's financial statements compiled or reviewed by an independent accountant?
-b-Were -the-organization ' s-financial-statements audited by an inde pe ndent acc ountant?
c If 'Yes' to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit,
review , or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain
in Schedule 0
d If 'Yes' to line 2a or 2b , check a box below to indicate whether the financial statements for the year were issued on a
separate basis, consolidated basis, or both :
Both consolidated and separate basis
Consolidated basis
Separate basis
3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single
Audit Act and OMB Circular A- 133'
b If 'Yes,' did the organization undergo the required audit or audits? If the organization did not undergo the required audit
or audits, explain why in Schedule 0 and describe any steps taken to undergo such audits
BAA

TEFA0112L

12121/10

X
X
2c

1

°?

-poi
3a

X

3b
Form 990 (2010)

 OMB No 1545 0047

SCHEDULE A
(Form 990 or 990-EZ)

2010

Public Charity Status and Public Support
Complete if the organization is a section 501(cX3) organization or a section
4947( aXl) nonexempt charitable trust.

Department'of the Treasury
Internal Revenue Service
Name of the organization

Open to Public =
' Inspection

Attach to Form 990 or Form 990- EZ. ^ See separate instructions.

Employer identification number

INTERNATIONAL CELLULAR MEDICINE SOCIETY
DBA ICMS, INC.

75-2985553

P,_arf• I"Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is (For lines 1 through 11, check only one box )
A church, convention of churches or association of churches described in section 170( bX1XAXi).
1
2
A school described in section 170 (bx1XAXii). (Attach Schedule E )
A hospital or a cooperative hospital service organization described in section 170(bXIXAXiii).
3
4
A medical research organization operated in conjunction with a hospital described in section 170(bXlXAXiii) Enter the hospital's
___ __
name, city, and state
a__gove___rnme_ntal__un_it___descri_bed__in section
❑ An organizat ion operated_fort_heb__enefit__of_a___collegeo__r__univ__ersity_ow_ned_or____operated__by_
170(bXlXAXiv). (Complete Part II )
A federal, state, or local government or governmental unit described in section 170(bx1XAXv).
An organization that normally receives a substantial Dart of its support from a governmental unit or from the general public described
in section 170( bXlXAXvi ). (Complete Part II )
❑ A community trust desc ribe d i n section 170( bX1XAXvi ). (Complete Part II )
An organization that normally receives (1) more than 33-173%of-its support-from contributions-membership-fees-and-gross-receiptsfrom activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33-1/3% of Its support from gross
investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after
June 30, 1975 See section 509(aX2). (Complete Part III )
10 HAn organization organized and operated exclusively to test for public safety See section 509(aX4).
11
An organization organized and operated exclusively for the benefit of, to perform the functions of, or carry out the purposes of one or
more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509(aX3). Check the box that
describes the type of supporting organization and complete lines 11 a through 11 h
d ❑ Type III - Other
b []Type II
a []Type I
C ❑ Type III - Functionally integrated
persons
disqualified
indirectly
one
or
more
directly
or
by
that
the
organization
is
not
controlled
By
checking
this
box,
I
certify
e ❑
other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or
section 509(a)(2)
❑
If the organization received a written determination from the IRS that is a Type I, Type II or Type III supporting organization,
I
check this box
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons'
Yes No
A person who directly or indirectly controls, either alone or together with persons described in (if) and (Ill)
(I)
11 9
below, the governing body of the supported organization?
11
ii
(ii) A family member of a person described in (1) above?
11
Iii
(iii) A 35% controlled entity of a person described in (1) or (i1) above?

H

Provide the followln

information about the su pp orted or g anization(s)
() EIN

(1) Name of supported
organization

(iii) Type of organization
(described on lines 1 - 9
above or IRC section
(see instructions ))

(v) Is the
organization in
column () listed in
your governing
documenl7

Yes

No

(v) Did you notify
the organization in
column (i) of
your support'

Yes

No

(vi) Is the
organization in
column (i)
organized in the
u S 7

Yes

(vii) Amount of support

No

(A)
(B)
(C)
(D)
(E)
''^

^-`.-,

-`!'--' S 'C^'-^::.
Q- e'
=

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i

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z^ ^ "

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4p^F-i•2Fv "^.^'F^.?-•

`

^ SS

BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

TEEA0401L

12/23/10

Schedule A (Form 990 or 990-EZ) 2010

 Schedule A (Form 990 or 990-EZ) 2010
INTERNATIONAL CELLULAR MEDICINE SOCIETY
75-2985553
Part'll Support Schedule for Organizations Described in Sections 170(bX1XAXiv) and 170(bXlXAXvi)

Pa g e 2

(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to quality under Part III If the
organization fails to qualify under the tests listed below, please complete Part III

Section A. Public SuDDort
Calendar year (or fiscal year
beginning in ) ^
1
2

( a) 2006

( b ) 2007

( d ) 2009

( c ) 2008

(e) 2010

(f) Total

Gifts, grants, contributions, and
membership fees received Do
not include 'unusual grants S
Tax revenues levied for the
organization ' s benefit and
either paid to it or expended
on its behalf

3

The value of services or
facilities furnished by a
governmental unit to the
organization without charge
4 Total . Add lines 1 through 3
5 The portion of total
contributions by each person
(other than a governmental
_-.,'
_ _ I
unit o r p ublicl y su pp orted
' "` ttip t'',^;•
.
=:^
=_ - 4_,x4 x _
organization ) included on line 1
w
1^"' _ ,'ice
that exceeds 2% of the amount Rt _> -' a• '`
= r^ ,; , c,
i= :;ta
_' ^ - `
'
^
shown on line 11, column (f)
6

Public support . Subtract line 5
from line 4
'

-

••

«,.

.x a . i N

`

r-

>; _•
` _:

=,-- • :.• ```
yam`; ^ w ;
Y- _ __
_

'- °u' ws

r ,s ,

=,::

'r

r

k..a

y '

section t;3. I otai JUDDOrt

Calendar year (or fiscal year
beginning in)
7

(a) 2006

1

(b) 2007

(c) 2008

1

(d) 2009

(e) 2010

1

(f) Total

Amounts from line 4

Gross income from interest,
dividends, payments received
on securities loans, rents,
royalties and income from
similar sources
9 Net income from unrelated
business activities , whether or
not the business is regularly
carried on
10 Other income Do not include
gain or loss from the sale of
capital assets (Explain in
Part IV )
8

12

Total su p port . Add lines 7
^
" '
through 1
Gross receipts from related activities, etc (see instructions)

13

First five years . If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)

11

organization, check this box and stop here
Section C . Com p utation of Public Su pport Percenta g e
14
15

12

-

Public support percentage for 2010 (line 6, column (f) divided by line 11, column (f))
Public support percentage from 2009 Schedule A, Part II, line 14

-

^ n

14

%
%

15

16a 33-113" support test - 2010 . If the organization did not check the box on line 13, and the line 14 is 33-1/3% or more, check this box
and stop here . The organization qualifies as a publicly supported organization

❑

b 33-113 % support test - 2009 . If the organization did not check a box on line 13 or 16a, and line 15 is 33-1/3% or more, check this box
11^
and stop here . The organization qualifies as a publicly supported organization
El
17a 10%- facts - and-circumstances test - 2010 . If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10%
or more, and if the organization meets the 'facts-and-circumstances' test, check this box and stop here . Explain in Part IV how
the organization meets the 'facts-and-circumstances' test The organization qualifies as a publicly supported organization

❑

b 10°x-facts- and-circumstances test - 2009. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10%
or more, and if the organization meets the 'facts-and-circumstances' test, check this box and stop here. Explain in Part IV how the
organization meets the 'facts-and-circumstances' test The organization qualifies as a publicly supported organization
18 Private foundation . If the organization did not check a box on line 13. 16a. 16b, 17a, or 17b, check this box and see instructions
Schedule A (Form 990 or 990-EZ) 201
BAA

TEEA0402L

12/23/10

 Schedule A (Form 990 or 990-EZ) 2010
INTERNATIONAL CELLULAR MEDICINE SOCIETY
Part-III = Support Schedule for Organizations Described in Section 509(aX2)

75-2985553

Page 3

(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II If the organization fails
to qualify under the tests listed below, please complete Part II )

Section A. Public Support
Calendar year ( or fiscal yr beginning in) ^
1 Gifts, grants , contributions
and membership fees

received (Do not include
any 'unusual grants ' )

2

(a) 2006

(e) 2010

(d) 2009

(c) 2008

( b) 2007

3,420 .

41 , 863 .

Gross receipts from admissions, merchandise sold or
services performed , or facilities
furnished in any activity that is
related to the organization's

tax-exempt purpose
Gross receipts from activities
that are not an unrelated trade
or business under section 513
4 Tax revenues levied for the
organization ' s benefit and
either paid to or expended on
its behalf
5 The value of services or
facilit ies furnished by a
governmental uhit t the
organization without charge
6 Total . Add lines 1 through 5
7a Amounts included on lines 1,
2, and 3 received from

70,189 .

Total

64 , 096 .

109 379 .

187, 620.

257, 809.

3

0.

0 .

0 .

112, 052.

0.

3,420.

0.

251, 716.

367,188.

0.

0.

0.

0.

0.

0.

0.

0.

0.

0.

0.

0.

0.

0.

0.

disqualified persons
b Amounts included on lines 2
and 3 received from other than
disqualified persons that
exceed the greater of $5,000 or
1 % of the amount on line 13

for the year
c Add lines 7a and 7b
8 Public support (Subtract line

7c from line 6
Section B. Total Su pp ort
Calendar year (or fiscal yr beginning in)

"..' ^^"
mo.'s:.

^ r- r-

4 ^, r

i

_

r•
>^''
^RIO

0.
,
'._^t.,r't w'`' '-`
"=,r' ''t;^°5.'^"
.a;^a-a.-^'

r
>..u ;;:^'`

+':

`

r

'

0 .
"`'.'•
:,

0.

^^

n

67, 188 .

(e) 2010
(a) 2006
(b) 2007
(c) 2008
(d) 2009
9 Amounts from line 6
251 716.
112 052.
3,420.
0.
0.
10a Gross income from interest,
dividends, payments received
on securities loans, rents,
royalties and income from
similar sources
91.
b Unrelated business taxable
income (less section 511
taxes) from businesses
acquired after June 30, 1975
c Add lines 1 Oa and 1 Ob
91.
0.
0.
0.
0.
11 Net income from unrelated business
activities not included in line 10b,
whether or not the business is
regularly carried on
12 Other income Do not include
gain or loss from the sale of
capital assets (Explain in
Part IV)
13 Total support . (Add ms 9, ia, 11, and 12)
251,807.
3,420.
112,052.
0.
0.
14 First five years . If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501 (c)(3)
organization, check this box and stop here

Total

367 188.

91.

0.
91.

0.
0.
367,279.

Section C. Computation of Public Support Percentaqe
15 Public support percentage for 2010 (line 8, column (f) divided by line 13, column (f))
16 Public support percentage from 2009 Schedule A, Part III, line 15
Section D . Com p utation of Investment Income Percenta g e

15
16

100.0
0.0

%
%

17 Investment income percentage for 2010 (line 10c, column (f) divided by line 13, column (f))
17
0.0 %
18 Investment income percentage from 2009 Schedule A, Part III, line 17
18
0.0 0
19a 33- 1/3% support tests - 2010 . If the organization did not check the box on line 14, and line 15 is more than 33-1/3%, and line 17
X
is not more than 33-1/3%, check this box and stop here . The organization qualifies as a publicly supported organization .
b 33-113 % support tests - 2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33-1/3%, and
line 18 is not more than 33-1/3%, check this box and stop here . The organization qualifies as a publicly supported organization
1120 Private foundation . If the oraanization did not check a box on line 14. 19a• or 19b, check this box and see instructions
Schedule A (Form 990 or 990-EZ) 2010
BAA
TEEA0403L iv2911o

H

 Schedule A (Form 990 or 990-EZ) 2010
75-2985553
INTERNATIONAL CELLULAR MEDICINE SOCIETY
Page 4
Part IV Supplemental Information . Complete this part to provide the explanations required by Part II, line 10;

Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information.
(See instructions).

Schedule A (Form 990 or 990-EZ) 2010

BAA

TEE+0404L 09r0an0

 SCHEDULE 0
(Form 990 or-990-EZ)

Department of the Treasury
Internal Revenue Service
Name of the organization

Supplemental Information to Form 990 or 990-EZ

OMB No 1545-0047

2 010
Complete to Provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
1, Attach to Form 990 or 990-EZ.

INTERNATIONAL CELLULAR MEDICINE SOCIETY
DBA ICMS, INC.

Ope.tto,Piiblic ;_ .

Inspection

Employer identification number

75-2985553

___FORM 990 , PART III1LINE1 -- QRGANIZATION MISSION
_ --TO-PROVIDE-EDUCATION.,-OVERSIGHT -AND -BEST PRACTICES_TO ASSURE PATIENT SAFETYL-ETHICAL
_ _ CONDUCT AND EFFECTIVE TREATMENT; TO BUILD A -COMPREHENSIVE REGISTRY-OF ADULT STEM --- _ CELL PROCEDURES AND PROVE 20 YEAR TRACKING-OF PATIENT OUTCOMES,-COMPLICATIONS;-TO -PROVIDE-CLINICAL AND LABORATORY-GUIDELINES TO ASSURE THAT PHYSICIANS AND CLINICS
- -- ------------------------------------------------------------ADULT STEM
WORLDWIDE ARE USING-BEST - PRACTICES TO COLLECT PROCESS AND RE-I MPLANT
--------------------------------------------------- - --------------CELLS IN PATIENTS;-AND-TO PROVIDE AN INTERNATIONAL-INSTITUTIONAL REVIEW-BOARD TO
- -- ------------------------------------------------------------_ _ CLASSIFY,- MONITOR AND ADVANCE SAFE-AND-EFFECTIVE CELL LINES AND -PROCEDURES -_
4D - OTHER
PROGRAM SERVICES DESCRIPTION
----------------------------------------------- - FORM 990, PART IIILLINE--PRODUCED FIRST OF ITS KIND MEDICAL GUIDLINES FOR THE PRACTICE OF PLATELET RICH
-------------------------------------------------------------------PLASMA (PRP) THERAPIES
--------------------------------------------------------------------------------------------------------------------------------------FORM 990, PART VI , LINE 11 B - FORM 990 REVIEW PROCESS
-------------------------------------------------------------------ALL BOARD MEMBERS ARE PROVIDED WITH A COPY OF THE RETURN FOR REVIEW PRIOR TO FILING.
-------------------------------------------------------------------FORM 990, PART VI , LINE 19 - OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE
-------------------------------------------------------------------DOCUMENTS ARE AVAILABLE AT ENTITY'S OFFICE FOR IN PERSON INSPECTION AND ALSO BY
----------------------------------------------------------------REQUEST.

---------------------------------------------------------------------------------------------------------------------------------------

BAA For Paperwork Reduction Act Notice , see the Instructions for Form 990 or 990 -EZ.

TEEA49o1L 10/26/10

Schedule 0 (Form 990 or 990-EZ) 2010